Claim total
$18,411.02
base $155.66 · payer covered $18,411.02
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-05
- Stop
- 2022-04-05
The parties
- Provider
- provider Silvana Weber
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
032df52f-9699-4603-3e7f-ce57b4b937ea